Heart score in chest pain patients – relation to admission rate, mortality and readmission
Responsible: Per Svensson
Web-site(s):
Introduction
Chest pain is a common chief complaint at the emergency department (ED) and may be a symptom of serious heart disease. The initial investigation focus to rule out acute coronary syndrome (ACS) and about a quarter of the patients are admitted for observation, further investigations or treatment although only a minority (3-5%) are discharged with an ACS-related diagnosis. Patient-history, ECG and troponin testing is central for the initial assessment. In December 2014 a new treatment algorithm was introduced in SLL for all patients with the chief complaint chest pain and suspicion of acute coronary syndrome. The algorithm included a structured scoring system (HEART-score) and serial troponin testing at baseline and after one hour.
Project details
| Medicine Solna | |
| Akutkliniken Solna | |
| Epidemiological study | |
| 3 | |
| English | |
| All data have already been collected and only need to be analyzed | |
| Ethical permit is required and exists |
Supervisor/Contact
Per Svensson
070 379 74 97
per.svensson@ki.se
Contact 2
Aims
This project is suitable for 2-3 students and different aspects of Heartscore in chest pain patients will be studied. Several specific aims will be identified for each project.
Design
Retrospective cohort study based on hospital register data
Material and methods
A large database has been extracted for previous projects. Students will work with specific parts of this database and categorize information .
Resources
Deskspace and experience supervision, good teaching environment
Miscellaneous
Previously supervised 11 degree projects and coordinated about 100 projects